2023 UIChoice, UISelect, and Dental COBRA Rates
Monthly rates are effective from Jan. 01, 2023 - Dec. 31, 2023
| Plan Name | Single | Employee + Spouse | Employee + Children | Family |
|---|---|---|---|---|
| UIChoice | $830.28 | $1,981.86 | $1,616.70 | $2,122.62 |
| UISelect | $664.02 | $1,585.08 | $1,293.36 | $1,698.30 |
| Dental II | $47.43 | $99.45 | $104.55 | $140.25 |
2022 UIChoice, UISelect, and Dental COBRA Rates
Monthly rates are effective from Jan. 01, 2022 - Dec. 31, 2022
| Plan Name | Single | Employee + Spouse | Employee + Children | Family |
|---|---|---|---|---|
| UIChoice | $783.36 | $1,869.66 | $1,525.92 | $2,002.26 |
| UISelect | $626.28 | $1,497.36 | $1,220.94 | $1,603.44 |
| Dental II | $45.90 | $94.86 | $102.00 | $135.66 |
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The information presented on our website describes only the highlights of the plans and does not constitute official plan documents. Additional terms and conditions may apply. If there are any discrepancies between the information contained herein and the official plan documents, the plan documents will govern. For more detailed information you may contact Wellmark Blue Cross/Blue Shield at the toll-free number 800-524-9242 (TTY: 888-781-4262), Monday through Friday from 7:30 a.m. to 5:00 p.m. (Central Time). For more efficient service, please have your member ID number handy - it can be found on the front of your card.